HCPCS Level II L3807: Prefabricated Wrist/Hand/Finger Orthosis, Customized Fit

HCPCS Level II code L3807 describes a prefabricated wrist/hand/finger orthosis that is provided without joints and has been trimmed, bent, molded, assembled, or otherwise customized to fit an individual patient by a trained professional; the service is an orthotic supply and fitting typically provided in outpatient clinics, orthotics/prosthetics offices, rehabilitation centers, or durable medical equipment suppliers where device customization and patient fitting occur.

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HCPCS Level II L3807: Prefabricated Wrist/Hand/Finger Orthosis, Customized Fit

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Clinical & Coding Specifications

Clinical Context

A 42-year-old right-hand–dominant construction worker presents to an outpatient orthopedic hand clinic after sustaining a nondisplaced distal radius fracture and associated wrist sprain while falling from a ladder three days prior. The treating hand therapist measures the patient and selects a prefabricated wrist–hand–finger orthosis. The device is trimmed, bent, and molded by the therapist to immobilize the wrist and restrict finger motion for comfort and fracture protection. The clinic documents prescription details, fabrication/customization steps, fit testing, patient education on donning/doffing and skin checks, and a plan for follow-up adjustment in two weeks. The orthosis is dispensed at the clinic visit under the supervising physician’s order; the supplier includes documentation of customization performed by a certified hand therapist and the device model, size, and adjustments made.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97001`	Physical therapy evaluation	Performed prior to orthosis fitting to assess function and need; documents baseline ROM and goals.
`97530`	Therapeutic activities, direct one-on-one	May be provided in conjunction with orthosis use for rehabilitation of wrist/hand function.
`99070`	Supplies and materials (report when not included in procedure)	Used to bill additional non-covered supplies or custom materials used in modification when payer allows.
`99080`	Handling charge for medical records and documentation	Administrative codes sometimes used by suppliers for documentation handling (payer dependent).
`26160`	Manipulation, small joint under anesthesia (example)	Surgical or procedure-based codes that may precede orthosis provision when operative intervention occurs (documented relationship).

Related Modifiers

5 rows

Modifier	Description	When to Use
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207T00000X	Neurological Surgery Physician	A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and reh…
207P00000X	Emergency Medicine Physician	An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospit…
208U00000X	Clinical Pharmacology Physician	Clinical pharmacology encompasses the spectrum of activities related to the discovery, development, regulation, and utilization of safe and effective …
156FX1201X	Optometric Assistant Technician	An optometric assistant assists optometrists by performing duties, including but not limited to, customer service, basic eye testing, and patient educ…
133V00000X	Registered Dietitian	A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of diet…
261QR0200X	Radiology Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
364SX0200X	Oncology Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
204F00000X	Transplant Surgery Physician	A surgeon who specializes in transplant surgery.

HCPCS L0112: Cranial Cervical Orthosis, Congenital Torticollis Type

HCPCS-L0113-CRANIAL-CERVICAL-ORTHOSIS-TORTICOLLIS

HCPCS Level II L0113: Prefabricated Cranial Cervical Orthosis for Torticollis

HCPCS-L0130-CERVICAL-FLEXIBLE-THERMOPLASTIC-COLLAR-MOLDED-TO-PATIENT

HCPCS Level II L0130: Cervical Flexible Thermoplastic Collar, Molded to Patient

HCPCS-L0140-CERVICAL-SEMI-RIGID-ADJUSTABLE-PLASTIC-COLLAR

HCPCS Level II L0140: Cervical Semi-Rigid Adjustable Plastic Collar

HCPCS-L0150-CERVICAL-SEMI-RIGID-ADJUSTABLE-CHIN-CUP

HCPCS Level II L0150: Cervical Semi-Rigid Adjustable Chin Cup

HCPCS-L0160-CERVICAL-SEMI-RIGID-OCCIPITAL-MANDIBULAR-SUPPORT

HCPCS Level II L0160: Cervical Semi-Rigid Occipital/Mandibular Support

HCPCS-L0170-CERVICAL-COLLAR-MOLDED-TO-PATIENT-MODEL

HCPCS Level II L0170: Cervical Collar, Custom-Molded

HCPCS-L0172-CERVICAL-COLLAR-SEMI-RIGID-THERMOPLASTIC-FOAM

HCPCS L0172: Cervical Collar, Semi-Rigid Prefabricated

HCPCS-L0174-CERVICAL-COLLAR-SEMI-RIGID-THORACIC-EXTENSION

HCPCS L0174: Cervical Collar, Semi-Rigid Thermoplastic with Thoracic Extension

HCPCS-L0180-CERVICAL-MULTIPLE-POST-COLLAR-OCCIPITAL-MANDIBULAR-ADJUSTABLE

HCPCS Level II L0180: Cervical Orthosis with Occipital/Mandibular Supports

Showing 1–10 of 466

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97001`	Physical therapy evaluation	Performed prior to orthosis fitting to assess function and need; documents baseline ROM and goals.
`97530`	Therapeutic activities, direct one-on-one	May be provided in conjunction with orthosis use for rehabilitation of wrist/hand function.
`99070`	Supplies and materials (report when not included in procedure)	Used to bill additional non-covered supplies or custom materials used in modification when payer allows.
`99080`	Handling charge for medical records and documentation	Administrative codes sometimes used by suppliers for documentation handling (payer dependent).
`26160`	Manipulation, small joint under anesthesia (example)	Surgical or procedure-based codes that may precede orthosis provision when operative intervention occurs (documented relationship).

Related Modifiers

5 rows

Modifier	Description	When to Use
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207T00000X	Neurological Surgery Physician	A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and reh…
207P00000X	Emergency Medicine Physician	An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospit…
208U00000X	Clinical Pharmacology Physician	Clinical pharmacology encompasses the spectrum of activities related to the discovery, development, regulation, and utilization of safe and effective …
156FX1201X	Optometric Assistant Technician	An optometric assistant assists optometrists by performing duties, including but not limited to, customer service, basic eye testing, and patient educ…
133V00000X	Registered Dietitian	A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of diet…
261QR0200X	Radiology Clinic/Center	Ambulatory Health Care Facilities · Clinic/Center
364SX0200X	Oncology Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist
204F00000X	Transplant Surgery Physician	A surgeon who specializes in transplant surgery.

HCPCS L0112: Cranial Cervical Orthosis, Congenital Torticollis Type

HCPCS-L0113-CRANIAL-CERVICAL-ORTHOSIS-TORTICOLLIS

HCPCS Level II L0113: Prefabricated Cranial Cervical Orthosis for Torticollis

HCPCS-L0130-CERVICAL-FLEXIBLE-THERMOPLASTIC-COLLAR-MOLDED-TO-PATIENT

HCPCS Level II L0130: Cervical Flexible Thermoplastic Collar, Molded to Patient

HCPCS-L0140-CERVICAL-SEMI-RIGID-ADJUSTABLE-PLASTIC-COLLAR

HCPCS Level II L0140: Cervical Semi-Rigid Adjustable Plastic Collar

HCPCS-L0150-CERVICAL-SEMI-RIGID-ADJUSTABLE-CHIN-CUP

HCPCS Level II L0150: Cervical Semi-Rigid Adjustable Chin Cup

HCPCS-L0160-CERVICAL-SEMI-RIGID-OCCIPITAL-MANDIBULAR-SUPPORT

HCPCS Level II L0160: Cervical Semi-Rigid Occipital/Mandibular Support

HCPCS-L0170-CERVICAL-COLLAR-MOLDED-TO-PATIENT-MODEL

HCPCS Level II L0170: Cervical Collar, Custom-Molded

HCPCS-L0172-CERVICAL-COLLAR-SEMI-RIGID-THERMOPLASTIC-FOAM

HCPCS L0172: Cervical Collar, Semi-Rigid Prefabricated

HCPCS-L0174-CERVICAL-COLLAR-SEMI-RIGID-THORACIC-EXTENSION

HCPCS L0174: Cervical Collar, Semi-Rigid Thermoplastic with Thoracic Extension

HCPCS-L0180-CERVICAL-MULTIPLE-POST-COLLAR-OCCIPITAL-MANDIBULAR-ADJUSTABLE

HCPCS Level II L0180: Cervical Orthosis with Occipital/Mandibular Supports

Showing 1–10 of 466

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

HCPCS Level II L3807: Prefabricated Wrist/Hand/Finger Orthosis, Customized Fit

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HCPCS Level II L3807: Prefabricated Wrist/Hand/Finger Orthosis, Customized Fit

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

HCPCS Level II L3807: Prefabricated Wrist/Hand/Finger Orthosis, Customized Fit

Sign up for hcpcs L3807 policy alerts

HCPCS Level II L3807: Prefabricated Wrist/Hand/Finger Orthosis, Customized Fit

Sign up for hcpcs L3807 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What is the clinical context for the use of a prefabricated wrist-hand-finger orthosis as described by HCPCS Level II code `L3807`?

Which related CPT codes might be reported in conjunction with the provision of a prefabricated wrist-hand-finger orthosis as described by HCPCS Level II code `L3807`?

Which ICD-10 codes are clinically relevant to the use of a prefabricated wrist-hand-finger orthosis as described by HCPCS Level II code `L3807`?

What is the HCPCS Level II code `L3807` description for a prefabricated wrist-hand-finger orthosis, and how is it typically provided?

What are some common diagnoses and procedures that may precede the provision of a prefabricated wrist-hand-finger orthosis as described by HCPCS Level II code `L3807`?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What is the clinical context for the use of a prefabricated wrist-hand-finger orthosis as described by HCPCS Level II code `L3807`?

Which related CPT codes might be reported in conjunction with the provision of a prefabricated wrist-hand-finger orthosis as described by HCPCS Level II code `L3807`?

Which ICD-10 codes are clinically relevant to the use of a prefabricated wrist-hand-finger orthosis as described by HCPCS Level II code `L3807`?

What is the HCPCS Level II code `L3807` description for a prefabricated wrist-hand-finger orthosis, and how is it typically provided?

What are some common diagnoses and procedures that may precede the provision of a prefabricated wrist-hand-finger orthosis as described by HCPCS Level II code `L3807`?

References